Individual
DR. ALVIN BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18404 N TATUM BLVD, SUITE 102, PHOENIX, AZ 85032-1510
(602) 485-7421
(602) 485-7440
Mailing address
PO BOX 9907, PHOENIX, AZ 85068
(602) 485-7421
(602) 485-7440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09262
AZ
Other
Enumeration date
07/05/2006
Last updated
09/06/2012
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